Developed nationally by the four major trauma centres in NHS Scotland, the Major Trauma App is an iPad application that captures major trauma cases digitally and in real time, fully replacing existing paper trauma booklets.
Based on ATLS protocol and designed in collaboration with trauma clinicians from NHS Scotland/England.
Highly granular timeline of data points generated in real time by the scribe or user.
Quicker and more accurate data input than existing paper forms.
Automated reporting to reducing post case clinical paperwork.
“The trauma app makes it much, much easier to document everything that nursing staff particularly need to know. And then obviously, if you're moving the patient on, it's much easier just to collate that information and hand it over to the next set of staff.”Leanne KennedyNurse Educator, NHS Greater Glasgow & Clyde
“It's very easy to actually engage with and to use.”Dr Kevin ThomsonConsultant Emergency Medicine, NHS Greater Glasgow & Clyde
“As health care professionals, we're always looking to strive for excellence in what we do. And I think the more places that we get on board with using the Trauma App, the better.”Nicola BaxterSenior Charge Nurse, NHS Greater Glasgow & Clyde
“Because the Trauma App is on the AppStore, people can just download and play with it, and for actual emergency physicians who are used to delivering trauma care it’s intuitive because it flows through care in the same way as we’ve been trained as junior doctors.”Prof David LoweConsultant Emergency Medicine, NHS Greater Glasgow & Clyde
Integrates into existing clinical practice
From the outset we set out to create a solution that could be used within existing clinical practice. We worked with clinicians and trauma scribes to build an application that seamlessly replaces existing paper trauma booklets. Use in hospitals in Scotland has shown us that scribes can easily transition from paper through light simulation and practice on recorded scenarios.
More, and better
Improved quantity and quality of documentation
Clinicians have worked hard to clinically map the 34 key interventions performed in trauma, helping scribes quickly and easily enter critical data points.
The app also has full support for:
- Imaging management
- Point of care tests
- Lab requests and key results
- Prescriptions (drugs, blood, fluids and ventilation)
- Patient managements (personal details, movements, next of kin, disposition)
- Team management (present and activities in the room)
- ED discharge
Paper to tablet familiarity
Skeuomorphic design with international standards
Designed to mimic existing paper documentation practice, making the app immediately familiar. For example, physiology can be captured on a standard NEWS2 chart and injuries painted freehand onto body illustrations. Internationally recognised standards are adopted throughout from ATLS, ATMIST, SAMPLE, NEWS2 and ASIA.
And so much more
Every app interaction is captured as a discrete data point providing a complete and unchanging timeline of ‘events’, tracked against the logged-in user, and translated live on-screen, in PDF reports and dashboards. This creates a highly secure and traceable trauma document, as well as an extremely rich dataset for research, team feedback and engagement, high level performance analytics, cost analysis and much more.
Consistent yet flexible
More than three years in the making, clinicians, designers and developers have come together from operationally quite different major trauma centres, to produce a tool with the flexibility to operate all those environments, all while producing an extremely consistent output.
The crux of this project was ensuring that data could be captured digitally as quickly and accurately as paper. We designed a range of custom inputs designed specifically for the clinical setting which allows scribes to work quickly while retaining accuracy. Research shows it’s as fast as capturing data as paper.
Case reports are automatically generated and pushed into your hospital EPR upon case signoff, making the clinical case information immediately available for ongoing care. It reduces the paperwork burden from ED clinicians while vastly improving the detail available to others.
Throughout the app we’ve built in simple tools that help teams work more quickly. For example, our ROTEM screen highlights the diagnosis and treatment plan so the scribe or team lead don’t need to reference other documentation. Clinical decision making is therefore kept entirely in the hands of the team lead.
A unique partnership
The Trauma App has been co-designed by trauma consultants and scribes for the four Major Trauma Centres in Scotland, with additional oversight from England, Wales and the US. It integrates seamlessly into existing clinical practice, with scribes switching from paper to an iPad.